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Ambu

Interim / Quarterly Report May 14, 2024

3353_ir_2024-05-14_ec486f53-9e61-4ced-aadd-18ec4b85465f.pdf

Interim / Quarterly Report

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INTERIM REPORT FOR Q2 2023/24 AND THE HALF-YEAR

1 Company announcement no. 11 2023/24 | 14 May 2024

Ambu A/S, Baltorpbakken 13, DK-2750 Ballerup Registration no. 63644919

INTERIM REPORT FOR Q2 2023/24 AND THE HALF-YEAR

In the second quarter of the 2023/24 financial year, Ambu delivered 15.5% organic revenue growth and a 14.2% EBIT margin before special items. This was driven by Endoscopy Solutions growing 22.3% and Anaesthesia & Patient Monitoring growing 7.0%.

On April 10, 2024, Ambu raised its financial guidance by upgrading its full-year organic revenue growth to 10-12% from 7-10% and EBIT margin before special items to 10-12% from 8-10%. In addition, the company raised its free cash flow expectations to DKK +370m from DKK +270m. This was mainly driven by better-thanexpected outcomes of contract negotiations in Anaesthesia & Patient Monitoring.

"I am pleased with the performance within the second quarter of our fiscal year 2023/24, where our Endoscopy Solutions business delivered 22.3% organic revenue growth, and we improved both our profitability and free cash flow, slightly ahead of our ongoing transformation to deliver profitable growth.

Our Endoscopy Solutions business grew in all segments, and we recently expanded and strengthened our offering within gastroenterology by obtaining North American regulatory clearance (FDA) of aScope™ Gastro Large and aScope™ Duodeno 2. All in all, strengthening our customer value proposition and foundation for long-term growth, and I am thankful for the great work by colleagues across Ambu."

BRITT MEELBY JENSEN Chief Executive Officer

Q2 2023/24 conference call

A conference call is broadcast live today, Tuesday 14 May 2024, at 11:00 (CET), via ambu.com/webcastQ22024. To ask questions during the Q&A session, please register prior to the call via ambu.com/conferencecallQ22024register. Upon registration, you will receive an e-mail with information to access the call. The presentation can be downloaded at Ambu.com/presentations.

HIGHLIGHTS FOR THE QUARTER

Last year's comparative figures are presented in brackets.

Financial highlights

  • ● Revenue for Q2 increased organically by 15.5% (4.2%) to DKK 1,367m (DKK 1,189m), with reported growth of 15.0% (6.0%). Organic growth for the half-year was 14.9% (4.0%), with reported growth of 12.9% (7.8%).
  • ● Endoscopy Solutions revenue increased organically by 22.3% (10.6%) and by 23.6% (6.7%) for the half-year. Pulmonology posted 13.9% (-3.4%) organic growth, and Endoscopy Solutions excluding pulmonology posted 33.3% (36.3%) organic growth, driven by high double-digit growth in urology and ENT.
  • ● Anaesthesia & Patient Monitoring increased organically by 7.0% (-2.8%) and by 4.2% (0.9%) for the half-year, driven by positive outcomes of contract negotiations.
  • ● EBIT before special items for the quarter was DKK 194m (DKK 46m), with an EBIT margin before special items of 14.2% (3.9%). EBIT for the half-year ended at DKK 320m (DKK 114m), with an EBIT margin of 12.2% (4.9%). The improved EBIT margin was driven by organic revenue growth, resulting in operational leverage, slightly offset by investment in resources to drive organic growth. The investments are expected to increase for the remaining fiscal year.
  • ● Free cash flow before acquisitions totalled DKK 128m (DKK 21m) for the quarter and DKK 263m (DKK -153m) for the half-year.
  • The adjusted FY 2023/24 financial guidance stated on 10 April 2024 is maintained:
    • Organic revenue growth: 10-12% (7-10%)
    • EBIT margin before special items: 10-12% (8-10%)
    • Free cash flow: DKK +370m (DKK +270m)

Business highlights

  • Strengthened gastroenterology (GI) offering, with North American regulatory clearance (FDA) of:
    • aScope™ Gastro Large & aBox™ 2. With the European clearance (CE mark) obtained in September 2023, the global commercialisation begins.
    • aScope™ Duodeno 2 & aBox™ 2, initialising an extended controlled market release with key hospitals in North America. European clearance (CE mark) is expected to be obtained later in the 2024 calendar year.
  • Announcing Ambu Broncho Simulator a software-based training platform developed with Artificial Intelligence for pulmonology training purposes.

FINANCIAL HIGHLIGHTS

DKKm Q2
2023/24
Q2
2022/23
YTD
2023/24
YTD
2022/23
FY
2022/23
Income statement
Revenue 1,367 1,189 2,621 2,321 4,775
Gross profit 813 664 1,552 1,326 2,713
EBITDA before special items 285 125 498 273 632
Depreciation, amortisation and impairment -91 -79 -178 -159 -330
EBIT before special items 194 46 320 114 302
Special items 0 0 0 0 -8
EBIT 194 46 320 114 294
EBITDA 285 125 498 273 642
Net financials -7 -27 -13 -67 -84
Profit before tax 187 19 307 47 210
Net profit for the period 144 15 236 37 168
Cash flow
Cash flow from operating activities (CFFO) 196 99 385 1 518
Cash flow from investing activities (CFFI) -68 -78 -122 -154 -326
Free cash flow (FCF) 128 21 263 -153 192
CFFO, % of revenue 14 8 15 0 11
CFFI, % of revenue -5 -6 -5 -7 -7
FCF, % of revenue 9 2 10 -7 4
Balance sheet
Assets 7,061 6,937 7,061 6,937 6,859
Net working capital 1,011 1,108 1,011 1,108 939
Equity 5,605 5,212 5,605 5,212 5,393
Net interest-bearing debt 243 733 243 733 427
Invested capital 5,848 5,945 5,848 5,945 5,820
DKKm Q2
2023/24
Q2
2022/23
YTD
2023/24
YTD
2022/23
FY
2022/23
Key figures and ratios
Organic growth, % 15.5 4.2 14.9 4.0 7.6
Gross margin, % 59.5 55.8 59.2 57.1 56.8
OPEX ratio, % 45.3 52.0 47.0 52.2 50.5
EBITDA margin before special items, % 20.8 10.5 19.0 11.8 13.2
EBIT margin before special items, % 14.2 3.9 12.2 4.9 6.3
EBIT margin, % 14.2 3.9 12.2 4.9 6.2
EBITDA margin, % 20.8 10.5 19.0 11.8 13.4
Tax rate, % 23 21 23 21 20
Return on equity, % 13 -1 13 -1 3
NIBD/EBITDA before special items 0.3 1.6 0.3 1.6 0.7
Equity ratio, % 79 75 79 75 79
Net working capital, % of revenue 20 24 20 24 20
Return on invested capital (ROIC), % 7 2 7 2 4
Average number of employees 4,799 4,290 4,750 4,350 4,385
Share-related ratios (in DKK)
Market price per share 114 103 114 103 74
Earnings per share (EPS) 0.54 0.06 0.89 0.15 0.64
Diluted earnings per share (EPS-D) 0.54 0.06 0.89 0.15 0.64

Key figures and ratio definitions are consistent with the ones applied in the Annual Report 2022/23.

BUSINESS PERFORMANCE -- IN BRIEF

Business areas

DKKm Q2 2023/24 Split Q2 2022/23 Organic Currency Reported YTD 2023/24 YTD 2022/23 Organic Currency Reported
Endoscopy solutions 807 59% 663 22.3% -0.6% 21.7% 1,555 1,280 23.6% -2.1% 21.5%
- Pulmonology 427 31% 378 13.9% -0.9% 13.0% 825 724 15.9% -1.9% 14.0%
- Excluding pulmonogy 380 28% 285 33.3% 0.0% 33.3% 730 556 33.7% -2.4% 31.3%
Anaesthesia & Patient
Monitoring
560 41% 526 7.0% -0.5% 6.5% 1,066 1,041 4.2% -1.8% 2.4%
- Anaesthesia 287 21% 264 9.1% -0.4% 8.7% 555 537 5.7% -2.3% 3.4%
- Patient Monitoring 273 20% 262 4.8% -0.6% 4.2% 511 504 2.5% -1.1% 1.4%
Total 1,367 100% 1,189 15.5% -0.5% 15.0% 2,621 2,321 14.9% -2.0% 12.9%

Geographies

DKKm Q2 2023/24 Split Q2 2022/23 Organic Currency Reported YTD 2023/24 YTD 2022/23 Organic Currency Reported
North America 684 50% 586 18.9% -2.2% 16.7% 1,315 1,171 16.0% -3.7% 12.3%
Europe 541 40% 473 13.7% 0.7% 14.4% 1,046 913 14.3% 0.3% 14.6%
Rest of World 142 10% 130 7.5% -1.7% 9.2% 260 237 11.9% -2.2% 9.7%
Total 1,367 100% 1,189 15.5% -0.5% 15.0% 2,621 2,321 14.9% -2.0% 12.9%

Q2 2023/24 - ORGANIC GROWTH IN ENDOSCOPY SOLUTIONS

Q2 2023/24 - SPLIT IN ENDOSCOPY SOLUTIONS

Endoscopy Solutions excl. pulmonology

47%

4 Company announcement no. 11 2023/24 | 14 May 2024

Q2 2023/24 - SHARE OF REVENUE BY BUSINESS AREA

STRATEGY EXECUTION IN Q2 2023/24

Provide innovative solutions for true customer needs

  • North American regulatory clearance (FDA) of aScope™ Gastro Large solution. With European clearance (CE mark) obtained in September 2023, the global commercialisation begins.
  • Ambu's new generation duodenoscope aScope™ Duodeno 2, developed in valuable collaboration with healthcare professionals to meet advanced demands for ERCP procedures, received FDA clearance.
  • Announcing Ambu Broncho Simulator a software-based training platform developed with Artificial Intelligence, intended for pulmonology training.

Excel in execution across the value chain

  • Profitable growth strengthened, reflected by 22.3% growth in Endoscopy Solutions, driven by solid performance across all endoscopy segments.
  • Advanced free cash flow of DKK 128m, attributable to strong operational performance.
  • Continuous focus on cost and efficiency across the business, driving solid profitability and cash flow generation in H1 2023/24.

Take leaps towards a sustainable future

  • With the FDA clearance of the aScope™ Gastro Large solution, the first of Ambu's fleet of endoscopes to be manufactured with bioplastics are ready to be launched in the U.S.
  • Continued progress to implement bioplastics in Ambu's full fleet of single-use endoscopes by early 2024/25.

Bring people together in one shared culture

  • Transformation program is progressing well, with an improved organisational setup (incl. expansion of leadership), to improve efficiency and reduce complexity.
  • Ambition and focus on strengthening Ambu's global mindset and efforts, building for greater customer impact, collaboration and success.

ENDOSCOPY SOLUTIONS PERFORMANCE

Last year's comparative figures are stated in brackets.

Endoscopy Solutions sales for the quarter were up, reflecting organic growth of 22.3% (10.6%) and reported growth of 21.7% (12.8%), with revenue of DKK 807m (DKK 663m). Endoscopy Solutions accounted for 59% (56%) of Ambu's total revenue in Q2 2023/24.

The satisfactory growth in Endoscopy Solutions was mainly driven by Ambu's pre-existing solutions in the growing single-use market.

DRIVERS OF THE QUARTER

Pulmonology posted 13.9% organic for Q2, accounting for 53% of the total endoscopy revenue. Ambu's bronchoscopy portfolio was the biggest growth contributor, while also VivaSight™ 2 DLT contributed positively, due to the global market re-launch in March 2023.

Moreover, the strong growth in pulmonology was positively impacted by the flu season this quarter, which overall reached a level above a five-year average. It was also slightly positively impacted by post-Covid-19 market normalisation, with health systems having more balanced order patterns.

The Center for Medicare & Medicaid Services (CMS) granted the aScope 5 Broncho HD TPT effective 1 January 2024, enabling incremental reimbursement payments for outpatient procedures performed with Ambu's fifth-generation bronchoscope. TPT was granted due to the solution's substantial clinical improvement, compared to existing single-use and reusable bronchoscopy technologies. Ambu hasted outcomes received positive interest towards this opportunity.

The aScope™ 5 Broncho HD targets the bronchoscopy suite, representing a new customer group for Ambu.

Feedback continues to be positive, resounding the aScope™ 5 Broncho's excellent performance, compared to reusable bronchoscopes.

In Q2, Ambu is also announcing Ambu Broncho Simulator, which is a software-based training platform developed with Artificial Intelligence, intended for pulmonology training.

Endoscopy Solutions excluding pulmonology

posted 33.3% organic growth, accounting for 47% of Ambu's total endoscopy revenue. The biggest growth drivers were urology and ENT, which posted continued high double-digit growth.

Ear-nose-throat (ENT) and urology continued their double-digit organic growth trajectory, due to an increased pace of order uptakes and penetration of new customers, especially in North America and Europe. Otolaryngologists and urologists value the workflow efficiencies brought forth by Ambu's singleuse solutions, which supports the continued conversion towards single-use in the two segments.

Gastroenterology (GI) sales continued growing and were mainly driven by Ambu's two gastroscope solutions, aScope™ Gastro and aScope™ Gastro Large. The GI segment accounts for a small part of Ambu's Endoscopy Solutions business, representing a longterm growth potential for Ambu. Focus is on applying a stepwise expansion within high-need, niche areas and bringing new functionalities to customers by leveraging new technology, fuelling long-term growth.

In Q2, Ambu strengthened its gastroenterology (GI) offering by obtaining North American regulatory clearance of two new solutions, the aScope™ Gastro Large and aScope™ Duodeno. The aScope™ Gastro Large is designed to address acute therapeutic procedures in the ICU, thereby complimenting the aScope™ Gastro solution, which targets procedures outside of the endoscopy unit, such as surgical gastroscopies in the OR and bedside procedures in the ICU. Both solutions are now commercially available in Europe and North America. Globally, the aScope™ Gastro Large targets 1.5 million annual procedures, while the aScope™ Gastro is expected to meet needs within a market of 2 million annual procedures.

The new generation aScope™ Duodeno 2 constitutes a step change from previous generations, driven by valuable collaboration with healthcare professionals and aimed to meet the unique needs of gastroenterologists performing ERCP procedures. Ambu will conduct an extended controlled market release with key hospitals to evaluate the clinical performance in a real-life setting. The solution will be available in the market from 2024/25, and European clearance is expected to be obtained later in 2024. Globally, the solution targets 0.4 million annual procedures.

Endoscopy Solutions organic revenue growth

22.3% in Q2 2023/24

ANAESTHESIA & PATIENT MONITORING PERFORMANCE

Last year's comparative figures are stated in brackets.

Organic growth in Anaesthesia & Patient Monitoring was 7.0% (-2.8%) in Q2, and reported growth was 6.5% (-1.5%). With revenue of DKK 560m, Anaesthesia & Patient Monitoring accounted for 41% (44%) of Ambu's total revenue for the quarter.

DRIVERS OF THE QUARTER

Similar to Endoscopy Solutions, Anaesthesia & Patient Monitoring was impacted by normalised post-Covid-19 levels, with stable market growth.

Last year, Ambu announced that the company would launch strategic initiatives to increase profitability by implementing price increases in selected low-margin areas within Anaesthesia & Patient Monitoring. As contracts typically run for 1-3 years and thus are renewed and re-negotiated over time, the price increases are expected to be implemented on a rolling basis throughout the coming years. In general, the price increases are being implemented gradually, and based on better-than-expected outcomes of contract negotiations, Ambu now expects positive growth in Anaesthesia & Patient Monitoring. Still, the volume growth prospects are not fully visible, leaving Anaesthesia & Patient Monitoring with some degree of uncertainty.

The performance was slightly offset by Ambu's exit from ~40 markets, where the majority is related to the Anaesthesia & Patient Monitoring business. The exit of these markets has already been completed.

Ambu has made significant progress wit

FINANCIAL RESULTS

INCOME STATEMENT

DKKm Q2
2023/24
Q2
2022/23
Change
in value
Change
%
YTD
2023/24
YTD
2022/23
Change
in value
Change
%
Revenue 1,367 1,189 178 15% 2,621 2,321 300 12.9%
Production costs -554 -525 -29 6% -1,069 -995 -74 7.4%
Gross profit 813 664 149 22% 1,552 1,326 226 17.0%
Gross margin, % 59.5 55.8 59.2 57.1
Selling and distribution costs -381 -394 13 -3% -759 -780 21 -2.7%
Development costs -81 -69 -12 17% -155 -138 -17 12.3%
Mgmt and admin. costs -157 -155 -2 1% -318 -294 -24 8.2%
Total OPEX -619 -618 -1 0% -1,232 -1,212 -20 1.7%
EBIT 194 46 148 322% 320 114 206 180.7%
EBIT margin, % 14.2 3.9 12.2 4.9

REVENUE

Revenue for Q2 was DKK 1,367m (DKK 1,189m), reflecting a reported growth of 15.0% (6.0%) and a 15.5% (4.2%) underlying organic growth.

Revenue year-to-date was DKK 2,621m (DKK 2,321m), equivalent to reported growth of 12.9% (7.8%) and organic growth of 14.9% (4.0%).

GROSS PROFIT

Gross profit in Q2 was up 22.4% to DKK 813m (DKK 664m), and the gross margin increased by 3.7 percentage points to 59.5% (55.8%). The increase in gross margin was mainly driven by scale in our production costs and some tailwinds from currencies.

For-the-year to date, gross profit was DKK 1,552m (DKK 1,326m), and the gross margin increased by 2.1 percentage points .

The average exchange rate in Q2, changed against DKK, relative to last year was as follows: USD by -1%, MYR -8%, CNY -6% and GBP 3%. The combined exchange rate impact on the reported revenue growth in percentage points for Q2 was -0.5%, while being - 2.0% for the year-to-date.

Revenue (DKKm) and gross margin (%)

OPERATING EXPENDITURES (OPEX)

In Q2, OPEX totalled DKK 619m, consistent with last year's figure of DKK 618m, showing insignificant net changes compared to last year. Currency effects were negligible.

The underlying expense composition in Q2 was impacted by a significant decrease in freight costs, due to higher rate levels in Q2 last year, although off-set by increased depreciations and amortisations and lower level of capitalised staff costs, compared to last year.

The OPEX ratio was 45.3% (52.0%).

Year-to-date, OPEX totalled DKK 1,232m (DKK 1,212m), corresponding to 47.0% (52.2%) of revenue.

Total OPEX in DKKm and relative to revenue (%)

SELLING AND DISTRIBUTION COSTS

Selling and distribution costs were DKK 381m (DKK 394m) in Q2, down by 3% from the prior-year period.

Overall, the decrease was driven by distribution costs, partly off-set by higher sales costs as investments in the sales force have been increased.

Selling and distribution costs corresponded to 27.9% (33.1%) of revenue in Q2.

Year-to-date costs were DKK 759m (DKK 780m), corresponding to 29.0% (33.6%) of revenue.

DEVELOPMENT COSTS

Development costs in Q2 totalled DKK 81m (DKK 69m).

Year-to-date, development costs totalled DKK 155m (DKK 138m), corresponding to 5.9% (5.9%) of revenue.

Total cash flow impact of R&D was DKK 130m, corresponding to a decrease of DKK 37m, compared to the prior-year period. The decrease is according to plan.

Cash flow impact of development costs

DKKm YTD
2023/24
YTD
2022/23
Change
in value
Development costs 155 138 17
- Depreciation, -102 -83 -19
amortisation and
impairment losses
+ Investments 77 112 -35
= Cash flow, R&D 130 167 -37

MANAGEMENT AND ADMINISTRATIVE COSTS

Management and administrative costs for Q2 were DKK 157m (DKK 155m), corresponding to 11.5% (13.0%) of revenue.

Year-to-date, costs totalled DKK 318m (DKK 294m), corresponding to 12.1% (12.7%) of revenue.

SPECIAL ITEMS

Year-to-date, special items was DKK 0m (DKK 0m).

EBIT

Operating profit (EBIT) was DKK 194m (DKK 46m) in Q2, with an EBIT margin of 14.2% (3.9%). EBIT was DKK 320m (DKK 114m) for the year-to-date, with an EBIT margin of 12.2% (4.9%).

The improved EBIT margin of 10.3 percentage points, compared to Q2 last year, was driven by revenue growth, improved gross margin and scale effects from unchanged OPEX, while soft tailwinds from currencies accounted for approximately 1 percentage point for the quarter and year-to-date.

EBIT before special items (DKKm) and relative to revenue (margin, %)

DEPRECIATION, AMORTISATION AND IMPAIRMENT

Depreciation, amortisation and impairment (DA) for Q2 represented an expense of DKK 91m (DKK 79m), corresponding to 6.7% (6.6%) of revenue.

Year to date, DA represented an expense of DKK 178m (DKK 156m), corresponding to 6.8% (6.7%) of the revenue. The increase in value was driven by amortisations from completed development projects.

EBITDA

EBITDA was DKK 285m (DKK 125m), with an EBITDA margin of 20.8% (10.5%).

NET FINANCIALS

Net financials amounted to an expense of DKK 13m (DKK 67m) for the year -to -date, corresponding to a decrease of DKK 54m in net financials.

The decrease in net financials is driven by foreign exchange losses, mainly from intercompany receivables, denominated in USD, and interest expenses from banks.

For the year -to -date, bank interest was an income of DKK 1m (expense of DKK 29m), and interest expenses from leases was DKK 9m (DKK 9m).

TAX ON PROFIT

Tax on profit for Q2 was a net expense of DKK 43m (DKK 4m) and DKK 71m (DKK 10m) for the year -to date, corresponding to an average effective tax rate on profit of 23% (21%) year -to -date.

NET PROFIT

Net profit for Q2 was DKK 144m (DKK 15m) and DKK 236m (DKK 37m) for the year -to -date, equivalent to 9% (2%) of revenue.

DILUTED EARNINGS PER SHARE

Diluted earnings per share (EPS -D) for Q2 were DKK 0.54 (DKK 0. 06) and DKK 0.89 (DKK 0.15) for the year to -date .

CASH FLOW STATEMENT

Cash flow condensed by main items

DKKm Q2
2023/24
Q2
2022/23
Change
in value
YTD
2023/24
YTD
2022/23
Change
in value
Net profit 144 15 129 236 37 199
Tax, financials and DA 141 110 31 262 233 29
EBITDA 285 125 160 498 270 228
Change in working capital -67 14 -81 -82 -199 117
Other items -22 -40 18 -31 -70 39
Cash flow from operating activities (CFFO) 196 99 97 385 1 384
Cash flow from investing activities (CFFI) -68 -78 10 -122 -154 32
Free cash flow (FCF) 128 21 107 263 -153 416
Cash flow from financing activities (CFFF) -16 234 -250 -31 148 179
Changes in cash 112 110 2 232 -5 237
Cash flow in % of revenue:
Cash flow from operating activities (CFFO) 14 8 15 0
Cash flow from investing activities (CFFI) -5 -6 -5 -7
Free cash flow (FCF) 9 2 10 -7

Free cash flow before acquisitions (DKKm) and CFFO and CFFI relative to revenue (%)

CFFO AND CFFI

Cash flow from operating activities (CFFO) for Q2 was DKK 196m (DKK 99m), corresponding to a change of DKK 97m. Overall, the increase was driven by an improved profitability, however, slightly reduced by working capital investments to support the growing business.

CFFO for the year-to-date was DKK 385m (DKK 1m).

Cash flow from investing activities (CFFI) for the yearto-date was DKK -122m (DKK -154m), primarily driven by R&D activities of DKK -77m (DKK -112m) and investments into production capacities and IT projects.

FREE CASH FLOW

Free cash flow (FCF) for Q2 totalled DKK 128m (DKK 21m), and FCF for the year-to-date was DKK 263m, up DKK 416m, compared to the same period last year. The improvement was mainly driven by improved profitability and lower investments in working capital, due to a soft comparison as net working capital was significantly higher last year.

Cash flow from financing activities (CFFF) amounted to DKK -16m (DKK 234m) for the quarter and DKK -31m (DKK 346m) for the year-to-date.

BALANCE SHEET

Balance sheet condensed by main items

DKKm Q2 2023/24 FY 2022/23 Change in value Change in %
Non-current assets 4,821 4,851 -30 -1%
Inventories 920 907 13 1%
Trade receivables 744 766 -22 -3%
Other current assets 189 178 11 6%
Cash and cash equivalents 387 157 230 146%
Total assets 7,061 6,859 202 3%
Equity 5,605 5,393 212 4%
Interest-bearing debt 630 584 46 8%
Trade and other payables 785 851 -66 -8%
Other liabilities 41 31 10 32%
Total equity and liabilities 7,061 6,859 202 3%

At the end of Q2, total assets were DKK 7,061m, up DKK 202m from FY 2022/23, and invested capital was DKK 5,848m.

NON-CURRENT ASSETS

Non-current assets at the end of Q2 were DKK 4,821m, constituting a DKK -30m decrease from FY 2022/23, driven by DKK -11m in currency translations and DKK - 178m in amortisation and depreciation, partly offset by total investments of DKK 122m and lease commencement of DKK 63m.

NET WORKING CAPITAL

Net working capital (NWC) for Q2 was DKK 1,011m, up DKK 72m since FY 2022/23. NWC corresponded to 20% (24%) of revenue on a 12-month basis.

Net working capital (DKKm) and net working capital relative to revenue (%)

INVENTORIES

Inventories were DKK 920m, up DKK 13m from FY 2022/23, equivalent to 18% (24%) of revenue on a 12 month basis.

Inventories in DKKm and relative to revenue on a 12-month basis (%)

TRADE RECEIVABLES

Trade receivables amounted to DKK 744m at the end of Q2, versus DKK 766m at the end of FY 2022/23. The financial risk on trade receivables remained low, unchanged from last year. Trade receivables constituted 15% (16%) of revenue on a 12-month basis.

TRADE PAYABLES AND OTHER PAYABLES

Trade payables and other payables decreased since FY 2022/23 by DKK 66, to DKK 785m, primarily due to the payments of last year's performance bonuses and timing in payments.

NIBD AND LEVERAGE

Cash and cash equivalents amounted to DKK 387m, up DKK 230m since FY 2022/23, mainly due to the strong free cash flow in both Q1 and Q2.

Net interest-bearing debt (NIBD) was DKK 243m by the end of Q2, down by DKK 184m since FY 2022/23, driven by the change in cash and cash equivalent, however slightly reduced by commenced leases.

CAPITAL RESOURCES IN PLACE

Total credit lines in Q2 were DKK 1,800m, unchanged since FY 2022/23, of which DKK 0m was utilised.

At the end of Q2, Ambu had unutilised capital resources from cash and cash equivalents, as well as overdraft facilities and credit lines, of approximately DKK 2.2bn.

NIBD (DKKm), EBITDA before special items (DKKm) and NIBD/EBITDA before special items

EQUITY

At the end of March 2024, equity totalled DKK 5,605m, corresponding to an equity ratio of 79%. The share capital was DKK 135m, distributed on 269.3m shares.

At the Annual General Meeting, held on 13 December 2023, a proposal to not distribute dividend was adopted, and ordinary dividend to the shareholders will consequently be DKK 0m (DKK 0m).

Ambu's holding of Class B treasury shares was 2,993,000 by end of Q2, unchanged from FY 2022/23, corresponding to 1.1% of the total share capital.

OTHER COMPREHENSIVE INCOME

Other comprehensive income included a translation adjustment, arising from the translation of subsidiaries in foreign currency, for the year-to-date of DKK -37m (DKK -188m). The reduction was driven by the depreciating USD/DKK since FY 2022/23.

SUSTAINABILITY UPDATE

Ambu continues to make strides in sustainability and has, as a result, been recognised as a market leader for several years. For Ambu, sustainability is a true differentiator and a source of competitive advantage, and the company is committed to advancing the agenda by leapfrogging towards a sustainable future. For Ambu, the sustainability agenda centres on two main areas: 1) Circular products and packaging, and 2) Approaching net-zero emissions.

CIRCULAR PRODUCTS AND PACKAGING

Ambu is dedicated to sustainable endoscopy by designing products and packaging that facilitate recycling through the use of sustainable materials. In April 2024, Ambu obtained FDA clearance of aScope™ Gastro Large, an endoscope with a handle made with bioplastics.

• aScope™ Gastro Large is the first of Ambu's fleet of endoscopes to be manufactured with bioplastics and thus represents an important step forward in the company's commitment to integrating bioplastics in all future endoscope handles by the end of 2024.

NET-ZERO EMISSIONS

Ambu is committed to operating responsibly and approaching net-zero emissions in collaboration with suppliers and other partners. To deliver on its near-term carbon reduction targets for scope 1, 2 and 3 greenhouse gas emissions*, Ambu is executing on its plan, which includes:

  • For targets encompassing operational facilities (Scope 1 and Scope 2), Ambu will expand the use of renewable energy and reduce the energy consumption through a combination of Renewable Energy Certificates (RECs), Power Purchase Agreements (PPAs) and investment in installation of renewable power, e.g., solar panels, in close proximity to the company's production sites.
  • For targets attributed to its entire value chain (Scope 3), Ambu will continue to focus on engagement with suppliers to further their sustainable transformation.

Ambu's near-term targets are key building blocks in the company's long-term objective to achieve net-zero emissions across the value chain by 2045. Ambu expects to submit its long-term carbon reduction targets to the Science Based Target initiative during the 2023/24 financial year.

ENVIRONMENTAL SUSTAINABILITY HIGHLIGHTS

Journey towards net-zero emissions

YTD 23/24 YTD 23/24 Change (%)
Recycled waste, % of total waste 51% 45% 15%
Waste per tonne finished goods 0.28 0.28 2%
CO2e** per tonne finished goods 1.82 2.01 -10%
Energy per product (GJ per tonne
finished goods)
19 22 -9%

** Including scope 1 and 2

Focus on waste management

Waste management remains a focus area across Ambu's manufacturing sites and offices. Year to date, Ambu has had a 15% increase in the share of recycled waste, compared to same period the year before. However, due to the increase in production output at manufacturing sites, as well as the number of employees, the waste per tonne of finished goods increased by 2%. Ambu continues to focus on waste management initiatives, which includes recycling and converting food waste into biogas and fertilizers, as well as recycling materials (runners) from injection moulding processes at manufacturing sites.

Focus on CO2 reduction

Ambu continues its carbon reductions efforts, in line with our near-term carbon reduction targets, which are validated by the Science Based Target initiative. Year to date, the CO2e per tonne finished goods decreased by 10%, due to, among other things, increased production, accompanied by energy efficiency measures at Ambu's manufacturing sites. The 9% decrease in energy consumed per tonne of finished goods is a positive development, showing a decoupling of energy consumption and product output. Ambu continues its targeted efforts with energy improvement

measures, as well as strengthened data collection. • Scope 1 includes greenhouse gas emissions occurring from activities under Ambu's direct control in sources that are owned or controlled by Ambu. Scope 2 refers to indirect greenhouse gas emissions caused by the energy Ambu purchases, such as electricity and district heating. Scope 3 encapsulates indirect greenhouse gas emissions – not included in scope 2 – that occur in our value chain, including both upstream and downstream emissions.

FINANCIAL OUTLOOK 2023/24

The financial outlook for the 2023/24 financial year was adjusted in connection with the announcement of preliminary results on 10 April 2024 – and is maintained as of 14 May 2024. The outlook for organic revenue growth is 10-12%, and the outlook for EBIT margin before special items is 10-12%. In addition, Ambu now – as of 14 May 2024 – assumes organic growth from Endoscopy Solutions to reach above 15% (previously around 15%).

Local currencies 10 Apr, 2024 8 Nov, 2023
Organic revenue growth 10-12% 7-10%
Danish Kroner 10 Apr, 2024 8 Nov, 2023
EBIT margin before special items 10-12% 8-10%
Free cash flow DKK +370m DKK +270m

Exchange rate assumptions for 2023/24

14 May, 2024 8 Nov, 2023
USD/DKK 6.93 6.95
MYR/DKK 1.46 1.47
CNY/DKK 0.96 0.98
GBP/DKK 8.67 8.61

FORWARD-LOOKING STATEMENTS

Forward-looking statements, in particular relating to future sales, operating income and other key financials, are subject to risks and uncertainties. Various factors, many of which lie outside of Ambu's control, may cause the realised results to differ materially from the expectations presented in this earnings release. Such factors include, but are not confined to, changes in market conditions and the competitive situation, changes in demand and purchasing patterns, fluctuations in foreign exchange and interest rates, as well as general economic, political and commercial conditions.

Financial calendar
2023/24
30 Aug
30 Sep
Earnings release Q3 2023/24
End of 2023/24 financial year
2024/25
31 Oct Deadline for the inclusion of
specific items on the agenda
for the Annual General
Meeting 2024
5 Nov Annual Report 2023/24
4 Dec Annual General Meeting 2024

QUARTERLY RESULTS

DKKm Q2
2023/24
Q1
2023/24
Q4
2022/23
Q3
2022/23
Q2
2022/23
Q1
2022/23
Revenue by products:
Pulmonology 427 398 390 373 378 346
Endoscopy Solutions excl. pulmonology 380 350 333 311 285 271
Endoscopy Solutions 807 748 723 684 663 617
Anaesthesia 287 268 285 271 264 273
Patient Monitoring 273 238 251 240 262 242
A&PM 560 506 536 511 526 515
Revenue 1,367 1,254 1,259 1,195 1,189 1,132
Production costs -554 -515 -544 -523 -525 -470
Gross profit 813 739 715 672 664 662
Selling and distribution costs -381 -378 -383 -359 -394 -386
Development costs -81 -74 -82 -75 -69 -69
Management and administrative costs -157 -161 -153 -147 -155 -139
Operating profit (EBIT) before
special items 194 126 97 91 46 68
Special items 0 0 -6 -2 0 0
Operating profit (EBIT) 194 126 91 89 46 68
Financial income 4 3 2 0 -1 1
Financial expenses -11 -9 7 -26 -26 -41
Profit before tax (PBT) 187 120 100 63 19 28
Tax on profit for the period -43 -28 -20 -12 -4 -6
Net profit for the period 144 92 80 51 15 22
Key figures and ratios:
Gross margin, % 59.5 58.9 56.8 56.2 55.8 58.5
Operating Expenditures (OPEX) 619 613 618 581 618 594
OPEX ratio, % 45.3 48.9 49.1 48.6 52.0 52.5
EBITDA before special items 285 213 189 173 125 145
EBITDA margin before special items, % 20.8 17.0 15.0 14.5 10.5 12.8
EBIT margin before special items, % 14.2 10.0 7.7 7.6 3.9 6.0
NIBD/EBITDA before special items 0.3 0.5 0.7 1.2 1.6 3.9
Net working capital, % of revenue 20 19 20 21 24 25
Organic growth, products, %: -16.8
46.6
2.6
Pulmonology
13.9
18.1
15.9
16.0
-3.4
Endoscopy Solutions excl. pulmonology
33.3
34.2
37.2
33.2
36.3
Endoscopy Solutions
22.3
25.1
24.9
23.3
10.6
Anaesthesia
9.1
2.2
7.4
-7.1
-11.3
4.3
Patient Monitoring
4.8
0.0
-3.0
-7.4
7.8
6.0
A&PM
7.0
1.2
2.3
-7.2
-2.8
5.1
Organic growth
15.5
14.2
14.1
8.1
4.2
3.7
Exchange rate effects
-0.5
-3.3
-5.8
-2.2
1.8
6.1
Reported revenue growth
15.0
10.9
8.3
5.9
6.0
9.8
Organic growth, markets, %:
North America
18.9
13.2
22.6
9.2
8.2
8.7
Europe
13.7
14.6
6.6
9.8
-1.2
-4.2
Rest of World
7.5
18.2
2.7
-1.9
7.3
14.3
Organic growth
15.5
14.2
14.1
8.1
4.2
3.7
Cash flow, DKKm:
Cash flow from operating activities
196
189
273
244
99
-98
Cash flow from investing activities
-68
-54
-85
-87
-78
-76
Free cash flow
128
135
188
157
21
-174
Cash flow, % of revenue:
Cash flow from operating activities
14
15
22
20
8
-9
Cash flow from investing activities
-5
-4
-7
-7
-6
-6
Free cash flow
9
11
15
13
2
-15
Balance sheet:
Assets
7,061
6,838
6,859
6,824
6,937
7,006
Net working capital
1,011
932
939
987
1,108
1,144
Equity
5,605
5,421
5,393
5,240
5,212
4,122
Net interest-bearing debt
243
351
427
600
733
1,817
Invested capital
5,848
5,772
5,820
5,840
5,945
5,939
Share-related ratios (in DKK):
Market price per share
114
105
74
112
103
89
Earnings per share (EPS)
0.54
0.35
0.30
0.19
0.06
0.09
Diluted earnings per share (EPS-D)
0.54
0.35
0.30
0.19
0.06
0.09

MANAGEMENT'S STATEMENT

The Board of Directors and the Executive Management have today considered and approved the interim report of Ambu A/S for the period from 1 October 2023 to 31 March 2024. The interim report has not been audited or reviewed by the company's independent auditors.

The interim report is presented in accordance with IAS 34 – Interim Financial Reporting, as adopted by the EU and additional Danish disclosure requirements for the interim reporting of listed companies.

In our opinion, the financial report for the first six months of 2023/24 gives a true and fair view of the Group's assets, liabilities and financial position at 31 March 2024 and of the results of the Group's operations and cash flows for the period 1 October 2023 to 31 March 2024. Furthermore, in our opinion, Management's review includes a fair account of the development in the activities and financial position of the Group, as well as a description of the most significant risks and elements of uncertainty to which the Group is subject.

Besides what has been disclosed in the quarterly financial report, no changes in the Group's most significant risks and uncertainties have occurred, relative to what was disclosed in the consolidated Annual Report 2022/23.

Copenhagen, 14 May 2024

EXECUTIVE MANAGEMENT

Chief Executive Officer Chief Financial Officer

Britt Meelby Jensen Henrik Skak Bender

BOARD OF DIRECTORS

Jørgen Jensen Shacey Petrovic Chair Vice Chair

Member Member

Member Member

Employee-elected member Employee-elected member

Thomas Bachgaard Jensen Employee-elected member

Christian Sagild Susanne Larsson

Michael del Prado Simon Hesse Hoffmann

Charlotte Elgaard Bjørnhof Jesper Bartroff Frederiksen

CONSOLIDATED FINANCIAL STATEMENTS

INTERIM REPORT Q2 2023/24

CONTENTS

  • Page 19 Income statement and statement of comprehensive income
  • Page 20 Cash flow statement
  • Page 21 Balance sheet
  • Page 22 Statement of changes in equity
  • Page 23 Notes to the interim report

INCOME STATEMENT AND STATEMENT OF COMPREHENSIVE INCOME

INTERIM REPORT Q2 2023/24

Income statement Note Q2 2023/24 Q2 2022/23 YTD 2023/24 YTD 2022/23 FY 2022/23 Revenue 3 1,367 1,189 2,621 2,321 4,775 Production costs -554 -525 -1,069 -995 -2,062 Gross profit 813 664 1,552 1,326 2,713 Selling and distribution costs -381 -394 -759 -780 -1,522 Development costs -81 -69 -155 -138 -295 Management and administrative costs -157 -155 -318 -294 -594 Operating profit (EBIT) b. s. i. 194 46 320 114 302 Special items 0 0 0 0 -8 Operating profit (EBIT) 194 46 320 114 294 Financial income 4 -1 7 0 2 Financial expenses -11 -26 -20 -67 -86 Profit before tax 187 19 307 47 210 Tax on profit for the period -43 -4 -71 -10 -42 Net profit for the period 144 15 236 37 168 Earnings per share in DKK Earnings per share (EPS) 0.54 0.06 0.89 0.15 0.64 Diluted earnings per share (EPS-D) 0.54 0.06 0.89 0.15 0.64

Statement of comprehensive income Q2
2023/24
Q2
2022/23
YTD
2023/24
YTD
2022/23
FY
2022/23
Net profit for the period 144 15 236 37 168
Other comprehensive income:
income statement under
certain conditions:
Translation adj. in foreign subsidiaries 33 -22 -37 -188 -168
Other comprehensive income after tax 33 -22 -37 -188 -168
Comprehensive income for the period 177 -7 199 -151 0

DKKm DKKm

CASH FLOW STATEMENT

INTERIM REPORT Q2 2023/24

YTD YTD FY
2023/24 2022/23 2022/23
Net profit 236 37 168
Adjustment for non-cash items:
Income taxes in the Income statement 71 10 42
Depreciation, amortisation and impairment losses 178 154 348
Financial items 13 76 84
Share-based payment 11 0 17
Change in working capital -82 -199 -21
Change in provisions -3 0 0
Interest paid -12 -40 -63
Income tax paid -27 -37 -57
Cash flow from operating activities 385 1 518
Investments in intangible assets -91 -121 -255
Investments in tangible assets -31 -33 -71
Cash flow from investing activities -122 -154 -326
Free cash flow 263 -153 192
Proceeds from borrowings 0 230 325
Repayment of borrowings 0 -1,140 -1,575
Repayment in respect of lease liability -31 -33 -63
Exercise of options 0 14 14
Sale of treasury shares 0 23 23
Capital increase 0 1,054 1,054
Cash flow from financing activities -31 148 -222
Changes in cash and cash equivalents 232 -5 -30
Cash and cash equivalents, beginning of period 157 187 187
Translation adjustment of cash and cash equivalents -2 0 0
Cash and cash equivalents, end of period 387 182 157
YTD
2023/24
YTD
2022/23
FY
2022/23
Cash and cash equivalents, end of period,
are composed as follows:
Cash at bank and in hand 233 182 157
Short-term deposits 154 0 0
Cash and cash equivalents, end of period 387 182 157

DKKm DKKm

BALANCE SHEET

INTERIM REPORT Q2 2023/24

Assets 31.03.24 31.03.23 30.09.23
Goodwill 1,551 1,545 1,565
Acquired technologies, trademarks and customer relations 613 454 643
Acquired technologies in progress 0 212 0
Completed development projects 940 769 888
Other incl. IT software 71 55 71
Development projects and other assets in progress 407 539 444
Intangible assets 3,582 3,574 3,611
Property, plant and equipment 566 591 584
Right-of-use assets 615 567 571
Deferred tax asset 58 85 85
Total non-current assets 4,821 4,817 4,851
Inventories
Trade receivables
920
744
1,086
671
907
766
Other receivables 44 50 44
Income tax receivable 50 45 50
Prepayments 88 74 73
Derivative financial instruments 7 12 11
Cash and cash equivalents 387 182 157
Total current assets 2,240 2,120 2,008
Total assets 7,061 6,937 6,859
Equity and liabilities 31.03.24 31.03.23 30.09.23
Share capital 135 135 135
Other reserves 5,470 5,077 5,258
Equity 5,605 5,212 5,393
Deferred tax 4 8 3
Provisions 9 18 9
Lease liabilities 557 493 512
Borrowings 0 340 0
Non-current liabilities 570 859 524
Provisions 6 4 9
Lease liabilities 73 82 72
Trade payables 376 358 359
Income tax 22 7 10
Other payables 409 415 492
Current liabilities 886 866 942
Total liabilities 1,456 1,725 1,466
Total equity and liabilities 7,061 6,937 6,859

STATEMENT OF CHANGE IN EQUITY

INTERIM REPORT Q2 2023/24

Share Reserve
foreign
currency
trans
lation
Retained Proposed
capital adj. earnings dividend Total
Equity 1 October 2023 135 211 5,047 0 5,393
Net profit for the period 236 236
Other comprehensive income for the period -37 -37
Total comprehensive income 0 -37 236 0 199
Transactions with the owners:
Share-based payment 11 11
Tax deduction relating to share-based pay 2 2
Equity 31 March 2024 135 174 5,296 0 5,605

Other reserves are made up of reserve for foreign currency translation adjustment, retained earnings and proposed dividend, totalling DKK 5,470m (31.03.2023: DKK 5,077m).

DKKm Share
capital
Reserve
foreign
currency
trans
lation
adj.
Retained
earnings
Proposed
dividend
DKKm
Total
Equity 1 October 2022 129 379 3,753 0 4,261
Net profit for the period
Other comprehensive income for the period
-188 37 37
-188
Total comprehensive income 0 -188 37 0 -151
Transactions with the owners:
Share-based payment
Tax deduction relating to share-based pay
Exercise of options
Sale of treasury shares
Share capital increase1)
6 6
5
14
23
1,048
6
5
14
23
1,054
Equity 31 March 2023 135 191 4,886 0 5,212

1) On 24 March 2023, Ambu concluded its accelerated bookbuild offering to increase the share capital by a nominal amount of DKK 6m. The total net proceeds raised in Q2 2022/23 was DKK 1,054m.

NOTES TO THE INTERIM REPORT

INTERIM REPORT Q2 2023/24

Note 1 – Basis of preparation of the interim report

The interim report for the period 1 October 2023 to 31 March 2024 is presented in accordance with IAS 34 – Interim Financial Reporting as adopted by the EU and additional Danish disclosure requirements for the interim reporting of listed companies.

The accounting principles applied are consistent with the principles applied in the annual report for 2022/23, except for the extended practise explained below.

Classification of Cash and cash equivalents

Ambu has entered into short-term deposits with a maturity less than three months. These are classified as Cash and cash equivalents.

Note 2 – Segment information

Ambu is a supplier of medtech products for the global market. Except for the sales of the various products, no structural or organisational aspects allow for a division of earnings from individual products, as sales channels, customer types and sales organisations are identical for all important markets. Furthermore, production processes and internal controls and reporting are identical, which means that, with the exception of revenue, everything else is unsegmented. Ambu has thus identified one segment.

Note 3 – Revenue

Q2
2023/24
Q2
2022/23
YTD
2023/24
YTD
2022/23
FY
2022/23
Endoscopy solutions 807 663 1,555 1,280 2,687
Anaesthesia 287 264 555 537 1,093
Patient Monitoring 273 262 511 504 995
Total revenue by activities 1,367 1,189 2,621 2,321 4,775
North America 684 586 1,315 1,171 2,424
Europe 541 473 1,046 913 1,863
Rest of World 142 130 260 237 488
Total revenue by markets 1,367 1,189 2,621 2,321 4,775

Note 4 – Contingent liabilities

Ambu's ongoing operations and the use of Ambu's products in hospitals and clinics etc. involve the general risk of claims for damages and sanctions against Ambu. The risk is deemed to be customary.

Ambu is involved from time to time in disputes with customers and patients about Ambu's products. Appropriate provisions are made on an ongoing basis, and product liability insurance has been taken out. The management believes that the likely outcomes of these disputes can be covered by the provisions made and recognised in the balance sheet as at 31 March 2024.

Note 5 – Subsequent events

In addition to the matters described in this interim report, the management is not aware of any events subsequent to 31 March 2024 which could be expected to have a significant impact on the group's financial position.

ABOUT AMBU

Since 1937, Ambu has been rethinking solutions, together with healthcare professionals, to save lives and improve patient care. Today, millions of patients and healthcare professionals worldwide depend on the efficiency, safety and performance of our single-use endoscopy, anaesthesia and patient monitoring solutions.

Headquartered near Copenhagen in Denmark, Ambu employs around 4,600 people in Europe, North America, Latin America and Asia Pacific.

For more information, please visit Ambu.com.

CONTACT

Investors Anders Hjort Head of Investor Relations [email protected] | +45 2892 8881

Media

Tine Bjørn Schmidt Head of Corporate Communications [email protected] | +45 2264 0697

Ambu A/S Baltorpbakken 13 DK-2750 Ballerup, Denmark Tel.: +45 7225 2000 CVR no.: 63 64 49 19 Ambu.com

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